NPI | 1225195183 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 3002) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-11-8110) |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2007-01-02 |
Last Update Date | 2013-06-17 |